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KMID : 0613320050110020175
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Journal of the Korean Bone and Joint Tumor Soceity
2005 Volume.11 No. 2 p.175 ~ p.182
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The Role of Angled Blade Plate in Treatment of Bone Tumor Occurred in Femur
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Kang Chang-Nam
Kim Tai-Seung
Chung Ung-Seu
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Abstract
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Purpose: Bone tumor occurred in femur frequently involve proximal intertrochanteric region or distal metaphyseal region. Sometimes, the pathologic fracture can happen according to the size of tumor due to the substantial biomechanical stresses. Therefore, the prognosis can be improved biomechanically by the angled blade plate considering the anatomic configuration after the excision of tumor.
Materials and Methods: Between October 1991 and April 2005, there were a total of 16 patients(17 cases) who were treated by the excision of tumor and internal fixation with the angled blade plate for bone tumor occurred in femur. After the excision of tumor, we filled the cavity by bone graft in 11 cases and bone cement in 6 cases. The internal fixation was used by angled blade plate in all cases.
Result: The average follow-up time was 55.5 months(6-144 months) in 16 patients(17 cases). No metal failure occurred after the operation. Reoperation was performed in 4 cases due to tumor recurrence, and the internal fixation was firm until that.
Conclusion: The angled blade plate can prevent the fracture until grafted bone incorporated to host bone, and protect fragile connection between cement and host bone.
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KEYWORD
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Bone tumor, Angled blade plate
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